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Organization

TIDAL PSYCHIATRIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TSION M MEKONNEN PMHNP (OWNER)
(540) 527-5070
Entity
Organization

Contact information

Practice address
7430 MAYFLOWER CT, SAINT LEONARD, MD 20685-2497
(850) 758-6321
(540) 307-4943
Mailing address
7430 MAYFLOWER CT, SAINT LEONARD, MD 20685-2497
(850) 758-6321
(540) 307-4943

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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